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Mirel 18mg Powder for Injection

Prescription Required
SALT COMPOSITION
Storage
Store below 30°C

Product introduction

Mirel 18mg Powder for Injection is a medicine that dissolves clots that have formed in blood vessels. It is used to treat a heart attack. It is known as a thrombolytic or “clot-busting” drug. This medicine restores the blood flow to the affected tissue, thereby preventing tissue death.

Mirel 18mg Powder for Injection is an injectable drug, given directly into a vein and it is given by a doctor as soon as possible after the first signs of a heart attack. Your breathing, blood pressure, oxygen levels, and other vital signs will be watched closely. You may be given another medicine to stop blood clotting at the same time or after the treatment.

This medicine may increase your risk of bleeding, so it is better to be careful while shaving, cutting nails, or using sharp objects. Treatment with this drug can also cause nausea, vomiting, decreased blood pressure, and injection site bleeding.

This drug needs to be administered with care by an expert and is not suitable for everyone. There is a long list of situations where you will not be given Mirel 18mg Powder for Injection including if you have had a head injury or surgery on your brain or spinal cord and any current bleeding anywhere in your body. Your healthcare team will need to know a lot about your medical history before giving you this medicine.

Uses of Mirel Powder for Injection

Benefits of Mirel Powder for Injection

In Heart attack

Mirel 18mg Powder for Injection dissolves harmful blood clots that cause heart attack (if they are in the heart). They also dissolve clots that form in other blood vessels. This means that blood can again start to flow freely through your body. This medicine will, therefore, reduce both the damage caused by, and the risk of dying from a heart attack. The sooner the injection is given, the greater are the chances of recovery.

Side effects of Mirel Powder for Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Mirel

  • Bleeding disorder
  • Nausea
  • Vomiting
  • Decreased blood pressure
  • Injection site bleeding

How to use Mirel Powder for Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Mirel Powder for Injection works

Mirel 18mg Powder for Injection is a thrombolytic medication. It works by dissolving the harmful blood clots in the blood vessels. This restores the blood flow to the affected tissue, thereby preventing tissue death and improving outcomes.

Safety advice

Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Mirel 18mg Powder for Injection. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Mirel 18mg Powder for Injection may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Mirel 18mg Powder for Injection is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
NOT RELEVANT
Not relevant, as Mirel 18mg Powder for Injection is intended for use in hospitalised patients.
Kidney
CAUTION
Mirel 18mg Powder for Injection should be used with caution in patients with kidney disease. Dose adjustment of Mirel 18mg Powder for Injection may be needed. Please consult your doctor.
Use of Mirel 18mg Powder for Injection is not recommended in patients with severe kidney disease.
Liver
CAUTION
Mirel 18mg Powder for Injection should be used with caution in patients with liver disease. Dose adjustment of Mirel 18mg Powder for Injection may be needed. Please consult your doctor.
Use of Mirel 18mg Powder for Injection is not recommended in patients with severe kidney disease.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine

Quick tips

  • It should be given as soon as possible (within 12 hours) after the onset of a heart attack or within 4.5 hours of onset of stroke.
  • Let your doctor know immediately if you develop any nosebleeds, gum bleeding, black or tarry stools, or bruising. 
  • Do not discontinue the medicines started after this injection as it may increase your chances of having another heart attack or stroke.

Fact Box

Chemical Class
Carboxylic Acids Derivatives
Habit Forming
No
Therapeutic Class
CARDIAC
Action Class
Plasminogen Activators- Thrombolytics

Interaction with drugs

Taking Mirel with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may increase the risk of bleeding. Reteplase may increase the effect of Apixaban. Do not consume Apixaban with Reteplase. If concurrent use is essential, watch out f... More
Concurrent use may increase the risk of bleeding. Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine).
Tranexamic Acid may block the action of Reteplase. If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations.
Concurrent use may increase the risk of internal bleeding. If concurrent use is essential, watch out for bleeding and consult your doctor immediately.
Concurrent use may increase the risk of bleeding. Do not consume Tirofiban with Reteplase. If concurrent use is essential, watch out for bleeding and consult your doctor immediate... More

Patient concerns

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Hrert attack home made best treatment
Dr. Spurthi Magdum
Ayurveda
Well there is no home remedy for heart attackBut Post - Attack to strengthen the heart you can give Arjuna Ksheerapak
What is heart attack? When heart attack coming?
Dr. Nabajit Talukdar
Cardiology
Related to chest pain angina commonly
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User feedback


FAQs

How is Mirel 18mg Powder for Injection administered?

Mirel 18mg Powder for Injection should be administered under the supervision of a trained healthcare professional or a doctor only and should not be self-administered. The dose will depend on the condition you are being treated for and will be decided by your doctor. Follow your doctor’s instructions carefully to get maximum benefit from Mirel 18mg Powder for Injection.

Is Mirel 18mg Powder for Injection safe?

Mirel 18mg Powder for Injection is safe if used in the dose and duration advised by your doctor. Take it exactly as directed and do not skip any dose. Follow your doctor's instructions carefully and let your doctor know if any of the side effects bother you.

Can the use of Mirel 18mg Powder for Injection increase the risk of bleeding?

Yes, Mirel 18mg Powder for Injection can increase the risk of bleeding. Always be careful while doing activities that may cause an injury or bleeding. Tell your doctor immediately if you notice any abnormal bruising or bleeding.

What medicines should I avoid while taking Mirel 18mg Powder for Injection?

Mirel 18mg Powder for Injection can interact with several medicines. If you are already taking Mirel 18mg Powder for Injection, do not take any other medicine without talking to your doctor.

When will I feel better after taking Mirel 18mg Powder for Injection?

Mirel 18mg Powder for Injection reduces your risk of developing blood clots in the blood vessels of your leg, lungs, heart and brain. You may not feel any difference after taking Mirel 18mg Powder for Injection. This does not mean that the medicine is not working, therefore keep taking this medicine as prescribed.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Fox KA, White HD, Gersh BJ, et al. Antithrombotic Agents: Platelete Inhibitors, Acute Anticoagulants, Fibrinolytics, and Chronic Anticoagulants. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. p. 384.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1208.
  3. Drugs.com. Reteplase. [Accessed 20 Mar. 2019] (online) Available from:External Link

Marketer details

Name: Reliance Life Sciences
Address: Dhirubhai Ambani Life Sciences Centre, R-282, TTC Area of MIDC, Thane-Belapur Road, Rabale, Navi Mumbai 400 701
Country of origin: India

DISCONTINUED
We do not facilitate sale of this product at present

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